[A case of a chronic traumatic thoracic aneurysm with compression of left main bronchus at the isthmus].
A case of successfully treated chronic traumatic thoracic aneurysm is reported. A 43-year-old man was admitted suffering from severe respiratory distress. He had a history of a blunt chest trauma in a traffic accident twenty-three years ago. A plain chest film, bronchofiberscopy, chest CT, MRI and angiography revealed a calcified aneurysm with compression of left main bronchus at the isthmus. He was successfully treated by replacement with woven Dacron graft under partial left heart bypass by means of a centrifugal pump. His postoperative course was uneventful. The literature states operative cases demonstrate a significantly higher survival rate compared to the nonoperative cases. Surgical treatment should be strongly considered for potential aortic rupture.
Oda
K
K
Department of Cardiovascular Surgery, Iwakuni National Hospital, Japan.
Tanemoto
K
K
Ishine
N
N
Kobayashi
G
G
Tsushima
Y
Y
Konaga
E
E
D000328:Adult; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D001982:Bronchial Diseases / Q000209:etiology*; D002908:Chronic Disease; D003251:Constriction, Pathologic; D006801:Humans; D008297:Male; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*